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Utah rates for HCPCS 64680

Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $3,162.28 / $4,786.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,584.89 / $3,630.78
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $467.74 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,818.38 / $5,128.61